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Job Description

University of Utah Job Description

Job Title: Transition Navigator

Job Code: 0686

Grade/FLSA: E/Exempt

Updated By: 02/21/2012

Job Summary

The Transition Navigator is responsible for coordinating and monitoring the care of patients transitioning out of the Hospital. This will include working closely with the hospital team and the center team including the care manager, the clinical pharmacist, and the primary care physician. The Transition Navigator ensures that abnormal tests are followed up on, the patient has and keeps a follow-up appointment with their primary care provider, and that the patient is enrolled in care management as appropriate. In summary the Transition Navigator functions as the liaison and communicator with the patient, caregivers, healthcare providers, and multi-disciplinary team members as well third party payers.

Qualifications

This position requires a Bachelor's degree in Nursing or equivalency; current RN licensure in the State of Utah; Must have a diverse medical background with demonstrated ability to determine psychosocial, environmental, and family economic dynamics that can affect optimum health outcomes. Verbal and written expertise in communicating across multidisciplinary teams. Understands the need to provide cost effective, high quality health care. Preferred: 3-5 years experience in discharge planning, case management or care management. Basic Life Support certification is required. This position requires a Bachelor's degree in Nursing or equivalency; current RN licensure in the State of Utah;

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Disclaimer

This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Essential Functions

1. Work with Center Care Manager and the hospital team to understand the unique needs of the patient, starting at admission.

2. Function as a liason and communicator between the patient and care givers, the hospitalist team and center-based team.

3. Ensure that all pending issues at the time of discharge are followed-up. This includes scheduling tests or scans that are to be done on an outpatient basis.

4. Ensure that an appointment is scheduled with their primary care provider, that the patient and care giver are aware of it, and that it is kept.

5. Ensure that Care Manager is aware of discharge and pending appointments.

6. If patient has not been enrolled in Care Management, refer as appropriate.

9. Triage patients for navigation services to ensure the most at risk patients will be benefitted by the services provided.

Comments

The Transition Navigator is responsible for ensuring that everyone taking care of the patient has a common understanding of the issues, the goals, and what is required for a successful outcome and follows through to make sure the plans are accomplished.